The Contact Lens and Eyecare Clinic, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD2046 Issued in WA

Legal business name

THE CONTACT LENS AND EYECARE CLINIC, INC.

Doing business as

Lawrence W. Nivala, OD

Practice address

114 E 1St St
Port Angeles, WA 98362-2903

Phone

(360) 452-2361

Fax

(360) 452-2362

NPI assigned

Nov 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence William Nivala, OD

Title

Owner

Phone

(360) 452-2361

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrence W. Nivala, OD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1881761351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622903",
            "telephone_number": "360-452-2361",
            "fax_number": "360-452-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622903",
            "telephone_number": "360-452-2361",
            "fax_number": "360-452-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONTACT LENS AND EYECARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "NIVALA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-452-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025120",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence W. Nivala, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.